CHARLES WILLIAM WALLACE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132901

License Status

ACTIVE

Business

Title

First Name

CHARLES

Middle

WILLIAM

Last Name

WALLACE

Business Name

CHARLES WILLIAM WALLACE MD

Original Issue Date

05/10/2013

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

AKRON

State

Zip

44333

Ever Disciplined

LastModifiedDate

07/04/2023